Individual
DR. MICHELLE AVERGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
620 CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-4098
(732) 238-0393
(732) 238-6393
Mailing address
620 CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-4098
(732) 238-0393
(732) 238-6393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA00547300
NJ
152W00000X
Optometrist
TO00085100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7304803
—
NJ
Enumeration date
11/08/2005
Last updated
03/22/2011
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